Individual
MR. JOHN KENNETH FALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. LPC
Contact information
Practice address
1203 48TH AVE N STE 202, MYRTLE BEACH, SC 29577-5425
(843) 449-2576
(843) 449-6851
Mailing address
409 PLUMSTEAD CT, MYRTLE BEACH, SC 29579-7081
(410) 474-3403
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
SC
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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